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Staff were caring towards patients and the relatives of.

Patient's dignity and privacy was kept in check and was largely ensured.

Community services for adults, children, families and end of life care was all rated good overall

Governance structure and risk management was well embedded and had improved massively since the last inspection.

General leadership of community teams - supportive.

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It is planning a new £9m intensive care unit; a new workforce with added recruitment and better training for all staff; and a £3m redevelopment of the existing maternity and neo-natal services.

Incident reporting was done via various methods

Concerns of the management of duty of candour has improved - The trust began using a more thorough and open approach to the duty of candour regulations and process.

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Walsall had a constant poor performance rate in comparison to the England average.

Excessive workloads in the maternity ward and the emergency department meant that staff were less caring and compassionate towards the patients in those areas.

The electronic patient admin system had not been introduced well even 18 months after instillation. However, improvements have been made and training in how to control this has been underway.

The culture of the trust was labelled as 'poor', even by some staff.

The NHS often failed to implement new checks and tests.

Due to the negative reviews and service from the trust, google searches of 'Walsall Healthcare NHS Trust' throws up many potentially damaging articles, news stories and personal experiences that would deter future patients. How will this service erase all the negative past and start afresh?

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Walsall Manor Hospital 'failed' elderly patient

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An elderly woman died at Walsall Manor Hospital after staff failed to monitor her oxygen levels.

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The performance of this hospital and NHS services have left a negative impact on patient experience and has compromised patient safety. (Walsall CQC Report)

MBRRACE, CCG, and Public Health all agreed that Walsall Healthcare NHS Trust should have an action plan/review in place in order to improve services.

There was regular delays in the emergency department when it came to the handover of the patient from the ambulance to the hospital itself.

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Walsall may have to cater to the masses (260k), and some people may argue that this is the reasoning behind their low performance rates - But after comparing a relatively small area (Walsall) to a large one (South London) it all becomes quite clear.
While yes, there is a high demand for healthcare professionals due to the amount of patients wanting to access healthcare,  and this may be a reason as to why there are so many incidents regarding patient safety and mortality rates within the practice; South London NHS Trust serves 1.3 million residents of the local area, and out of their total 5586 incidents reported as 'patient safety issues', only 26 were reported as deaths. Their mortality rates are incredibly lower than that of the Walsall based facility, despite their additional patients. Does this mean that Walsall is slacking?

Source:

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The health of residents in Walsall is generally worse than those from other areas of the UK.
This area was ranked 30/326 in terms of local authorities and deprivation.
Walsall is home to high rates of smoking, obesity, diabetes, coronary heart disease, infant mortality rates, and alcohol related hospital admissions.

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There is a lack of funding from this trust which means that there is also a lack of staff. This all results in poor service and attention to patients. The Hospital can only run smoothly if everything is in check and working alongside other important components.

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Patients are at risk while they interact with this trust, as the latest MBRRACE report reported higher-than-average cases of still births, neonatal mortality, and extended perinatal mortality rates, according to the CQC report linked above (2013)
The Summary Hospital-level mortality indicator (SHMI) calculates the ratio of deaths after hospitalisation, against those who were expected to die anyway. Walsall Manor Hospital represents a risk to patient safety.
March 2015 - 107.41
April 2015 - 110.54
May 2015 - 102.64

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"The trust had recognised these issues well ahead of the inspection and implemented an improvement plan to respond to the challenges. However, the CQC inspection team felt that progress had not been made quickly enough"

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"The trust had recognised these issues well ahead of the inspection and implemented an improvement plan to respond to the challenges. However, the CQC inspection team felt that progress had not been made quickly enough"

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- Richard Kirby, Trust Chief Executive, 2015.

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The CQC report about Walsall Healthcare NHS Trust

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S - Is it safe?  (INADEQUATE)
C - Is it caring?  (INADEQUATE)
R - Is it responsive?  (REQUIRES IMPROVEMENT)
E - Is it effective?  (REQUIRES IMPROVEMENT)
W - Is it well-led?  (INADEQUATE)

The CQC have to ask themselves these questions in regards to the establishments that they are inspecting, in order to Gage just how effective a service is.
The overall rating for Walsall NHS Trust is: INADEQUATE

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Due to a lack of staffing at this facility, many patients have been left to wait to be admitted. The NHS have a target to reach and maintain everyday - One that says that patients should never have to wait longer than 4 hours to be admitted into hospital once making the decision to do so. Sadly, the percentage of patients that were seen within the target limitations was 95% worse than the National average. This was almost constant from April 2014 to May 2015.
Some patients had to wait around 12 hours just to be seen by a qualified member of staff.

Maternity services within the trust had multiple issues regarding staffing, delivery of care and treatment, and people being at high risk of harm that could have easily been avoided.
In the emergency department, there was a shortage of both paediatric nurses and paediatric consultants. In fact, no consultants were present in the department at the time of inspection.

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. Acute hospital services are only provided by Walsall Manor Hospital

. Walsall Manor Hospital has a total of 606 inpatient beds. (536 acute and general beds, 57 maternity beds, and 13 critical care adult beds)

. CQC inspected 8 core services within the Walsall NHS Trust:(Emergency department, Medical services, Surgery services, Critical Care services, Maternity services, Children & Young People services, End of Life services, Outpatients & Diagnostic services)

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There are many issues within Walsall and it's healthcare facilities, and I don't believe they can all be put down to one person and the blame cannot be pushed onto a single individual. It's a team of leaders and healthcare professionals that are slipping up and are not currently working together effectively.

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Walsall Manor Hospital is moderated by the Walsall NHS Trust, who serve patients who reside in Walsall and the surrounding areas, totaling to approximately 260,000 people. Inspections, reports and service user experiences have added up to create an overall impression for those who encounter the trust.